Organization Active NPI

Southern Mobility Specialists Inc

Doing business as Southern Mobility Specialists

  • Customized Equipment (DME)
  • Tupelo, MS
National Provider Identifier
1669133443
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
SOUTHERN MOBILITY SPECIALISTS INC
Doing business as
Southern Mobility Specialists
Practice address
1860 Graham Dr
Tupelo, MS 38801-6794
Phone
(662) 260-4870
Fax
(662) 260-4764
NPI assigned
Jan 4, 2022
Last updated
Jun 22, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHERN MOBILITY SPECIALISTS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Regina Lynn Grimes, PT, C/NDT, ATP, CRTSNPI 1255355947
Title
Vice President
Phone
(662) 260-4870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

1860 Graham Dr
Tupelo, MS 38801-6794

Mailing address

205 County Road 441
Houston, MS 38851-7642
Phone (662) 448-1179

Other names 1

  • Southern Mobility Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220913001711 MS DME Supplier - Medical Supply Company 0042640344 Practice locations: Tupelo, MS

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Southern Mobility Specialists Inc1860 Graham Dr, Tupelo, MS 38801-6794(662) 260-4870 Commodes, Urinals, Bedpans|Contracture Treatment Devices: Dynamic Splint|Hospital Beds (Electric)|Hospital Beds (Manual)|Speech Generating Devices|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scooters)|Seat Lift Mechanisms|Walkers|W… Accepts assignmentParticipating since Apr 29, 2020

National Provider Directory

National Provider Directory
Tax ID family
Southern Mobility Specialists Inc3 organizations share this tax ID, including this one
Part of
Southern Mobility Specialists Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1860 Graham Dr
Tupelo, MS 38801

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1669133443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 COUNTY ROAD 441",
            "city": "HOUSTON",
            "state": "MS",
            "postal_code": "388517642",
            "telephone_number": "662-448-1179",
            "fax_number": "662-448-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 GRAHAM DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016794",
            "telephone_number": "662-260-4870",
            "fax_number": "662-260-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MOBILITY SPECIALISTS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN MOBILITY SPECIALISTS INC",
        "enumeration_date": "2022-01-04",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "GRIMES",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "662-260-4870",
        "authorized_official_credential": "PT, C/NDT, ATP, CRTS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Mobility Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southern Mobility Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.